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目的 :主要介绍额眶外侧入路切除颅眶区肿瘤手术适应症及优缺点。方法 :在 2 2例颅眶区肿瘤中 ,9例采用了额眶外侧入路。男 5例 ,女 4例。年龄 14～ 44岁。肿瘤最大 5cm× 4cm× 4cm ,最小 2cm× 2cm× 2cm。介绍额眶外侧入路切除肿瘤的方法和经验。结果 :9例经额眶外侧切除颅眶肿瘤中 ,眶内球后肿瘤 4例 ,蝶骨嵴脑膜瘤、眶内沟通瘤 2例 ,涉及中颅窝及颅眶鼻窦沟通瘤 3例。 6例全切除 ,大部切除 3例。术后症状改善明显 ,没有严重手术并发症。结论 :额眶外侧入路是治疗颅眶区肿瘤比较好的入路 ,因入路低、广显露 ,适合切除眶内肿瘤又兼顾中、前颅窝肿瘤切除 ,尤其对颅眶沟通瘤更为适合
OBJECTIVE: To mainly introduce surgical indications and advantages and disadvantages of resection of orbital area tumors by lateral orbital approach. Methods: Of the 22 cases of cranio-orbital tumors, 9 received lateral orbital approach. 5 males and 4 females. Age 14 to 44 years old. The largest tumor 5cm × 4cm × 4cm, the smallest 2cm × 2cm × 2cm. Introduce the methods and experience of frontal orbital approach to tumor removal. Results: In 9 cases of orbital tumors resected behind the orbital orbit, there were 4 cases of orbital tumor, 2 cases of sphenoid ridge meningioma and 2 cases of orbital communicating tumor involving 3 cases of mesio-cranial fossa and cranio-orbital sinus tumor. 6 cases of total resection, most of the resection in 3 cases. Postoperative symptoms improved significantly, there is no serious surgical complications. Conclusion: The frontal orbital approach is a better approach for the treatment of cranio-orbital tumors, because of low access, wide exposure, suitable for resection of orbital tumors and take into account the anterior cranial fossa tumor resection, especially for the cranial orbital tumor more Suitable for